NHS Further Reading

06 July 2025

Documents Related to Health Evolution in Guildford.

1/ NHS 10 Year Plan - Fit for the Future

Executive Summary

Full Document

2/ Guildford Society Report - Delivering Integrated Care in Guildford

The Society contributes to the ongoing debate on Planning, Good Design of Developments etc all of which contribute to the health of the population. Having become concerned at the pace and direction of providing health facilities for a growing population The Society has developed a report (April 2025) that examines how the NHS service should be configured in Guildford to meet the challenges of the future.   This includes recommendations.

The presentation is split into several topic areas.  These can be viewed below.  A link to whole slide pack is provided below the Topics.

  • Introduction
    • Preamble
    • Where we started: GP premises in N & W Guildford
  • Strategy
  • NHS England Strategy
  • The ICB’s preferred Estates Strategy & GP premises
  • Integrating community care: build on the AARS platform?
  • How AARS services are co-ordinated with local community care
  • How data becomes the care organiser
  • The most important driver of change will be technology
  • Knowledge management – Guildford’s opportunity
  • AARS
  • Data and the Patient
  • The Royal Surrey County Hospital
  • The Future?
    • Moving to prevention
  • Contracts
  • Organisation: a new structure is required
  • Which brings us full circle
  •  Recommendations & Next steps

Full Presentation

3/ Factors impacting local NHS Plans

There are developments that make creating a plan for NHS primary care more urgent:

a) The government injecting energy into moving to a Primary Care focussed model for the NHS.  Guildford needs to have plans to obtain funding.

b) Guildford Borough council are working on an updated local plan that will be an opportunity to identify primary health care Site sites, which will demand good transport links and other supporting infrastructure.

c) Guildford Borough council are also considering adopting Community Infrastructure Levy’s (CIL) for new developments, which may unlock funding for new Health Facilites.

d) The Council in the Local Plan: Strategy and Sites (LPSS), adopted April 2019, has a plan to supply 562 dwellings per annum.  From identified sites there is a land supply to deliver this over 5.66 years.

From 1 April 2025 which is after the LPSS’s fifth anniversary the next five-year housing land supply figure will need to be assessed against the local housing need figure calculated using the standard method set out in the National Planning Practice Guidance. This is currently calculated as 1,155 dwellings per annum.

This will, if achieved, mean over the next five years circa 2500 extra residents will be accommodated in the borough per annum.

4/ NHS Terminology

The government is proposing that the NHS focusses more on Primary Care that covers all of the services such as GPs and community based services.

Secondary Care describes hospital services in general hospitals such as Accident and Emergency, and a wide variety of treatment.

Tertiary Care covers specialist services mainly based in specialist hospitals such as oncology, neurosciences, cardiology, tertiary orthopaedics, tertiary paediatrics, etc.  

Note: the Royal Surrey County Hospital (RSCH) is the general hospital for Guildford providing Secondary Care but with a large Tertiary Care element specialising in Cancer Care (Oncology).

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